INTRODUCTIONThis essay will explore Peplau’s concept of a nurse-patient relationship and how it narrates to the experience I had whilst on placement practice. My aim is to demonstrate my gained understanding of the nursing process, the domains of nursing, the nature of nursing models and their relationship to practice and Peplau’s model of nursing. The reason why the student has chosen this concept is because nursing is an interpersonal process which involves interaction between two or more people with a mutual goal, (George 2003). The essay will start by defining the word concept then describe the incident that I observed in placement practice. The essay will analyze how theories can be used to justify nursing interventions in practice. The conclusion summarises the main points of the essay and reflect on my learning experience. (Meleis 1991) defined concept as “a label used to describe a phenomenon or a group of phenomena” (McKenna 1997). (McKenna 1997) concludes that concepts are identified when a name is put to a phenomenon. “Therefore, a concept is a tool and not a real entity – it merely facilitates observation of a real phenomenon,” (McKenna 1997 p8). Chinn and Kramer (2008); Hage (1972); Reynolds (1971) were cited that concepts can be theoretical or tangible. Theoretical concepts are created mentally independent of a particular or interval location, whereas tangible concepts are experienced directly and relate to a specific interval or location (Alligood and Tomey, 2010). “Nursing is a significant, therapeutic, interpersonal process. It functions co-operatively with other human processes that make health possible for individuals in communities. In specific situations in which a professional health team offers health services, nurses participate in the organisation of conditions that facilitate natural on going tendencies in human organisations. Nursing is an educative instrument, a maturing force that aims to promote forward movement of personality in the direction of creative, constructive, productive, personal, and community living.” (Peplau 1988, p16) Peplau (1952) defined phases in the nurse-patient relationships that overlap and transpire during the relationship interval. George (2002) cited the three phases defined by Peplau are as follows; orientation, identification, working, and termination.

Whilst on Placement I had the prospect to put theory into practice with the supervision of my mentor when Mrs. Ahmed aged 85 was admitted into the ward after having had a fall (false name and age due to confidentiality, Nursing and Midwifery Council 2003). During handover it was reported that Mrs. Ahmed was at times unresponsive and seemed uninterested when addressed to by the nurse on duty upon admission, leaving the nurse to rely on the information obtained from the ambulance crew as she was unaccompanied. Upon arrival Mrs. Ahmed had not been able to get up from the stretcher as she was not weight bearing after the fall and appeared to be confused with the new environment. It was hoped that more information would be obtained in the morning when she awoke.

Orientation stageMy mentor gave me an opportunity to work with Mrs. Ahmed whilst under her supervision and it was obvious that the information we had was not complete. To get further information we went to her bedside which was in a mixed ward were we were introduced to the new patient. The orientation phase is initiated when a health problem occurs thus resulting in a felt “felt need, and professional assistance is sought.” Peplau (1952, p.18) Peplau (1952) further states that the nurse and patient meet as two strangers, by clarifying and defining the problem in the orienting stage the patient can direct the accumulated energy from her anxiety about unmet needs and begin working with the presenting problem. The nurse patient rapport is established and continues to be strengthened while concerns are being identified. The nurse...

YOU MAY ALSO FIND THESE DOCUMENTS HELPFUL

...In the context of professional practices reflection is defined as the examination of personal thoughts and actions (David, 2004). In this essay I am reflecting on an incident that happened in my earlier years of working as a professional nurse. The incident I am sharing and the subsequent learning I have gained by reflecting it helped me in the later years of my nursing career.
During my career as a professional nurse I have worked in several hospitals also attended several cases and those provided me with lot of insights and leanings. As per NMC 2002 guidelines, for protecting identify of the patient, names have been replaced with pseudo names.
For structuring my experience and the subsequent reflection I am using Gibbs (1998) model of reflection as a framework. By using Gibbs (1998) model the practitioner and also take emotions into account. As shown in the below diagram, this model for reflection consists of six stages.
Figure : Gibbs reflective cycle. Source : Oxford Brookes University
Gibbs reflection starts with describing the incident, analysing the feeling, evaluation of the experience, analysis of the experience, conclusion, what else can be done as the final step also it analyse about the future plan how to approach a similar situation in the future.
The incident I want to describe happened during the third year when I was working. When I was working in the causality ward, and an 11 year old named Maria was admitted. From the first sight...

...of year one, attached to the ward for 3 weeks.
• The skill that will be taught to them will be blood pressure monitoring using a stethoscope and sphygmomanometer.
• Cork A (2007) suggest that nursing students should be using manual BP monitoring I
l practice instead of depending on automated monitors• Learning takes place in surgical ward and hospital’s stimulation lab.
• The first debriefing session was conducted in stimulation lab. The stimulation lab provides a conducive learning environment for both the students and clinical instructor
• Introduction takes place between the students and clinical instructor.
• Objectives for the attachment were discussed.
• As for the week was “ students were able to perform manual blood pressure monitoring competently, verbalise the normal blood pressure range, understand the anatomy of the heart, chart the reading using the electronic flow sheet”
• Clinical instructor assessed the student’s preferred learning style using a VAK questionnaire
• The results of the VAK questionnaire showed that most students preferred visual and kinaesthetic style of learning.
• So the clinical instructor decided to use more of videos and hands on techniques to teach students rough
• Student’s previous knowledge was assessed.
• Teacher showed a video of how the heart functions and how a systolic and diastolic reading is measured. This helps to get things started and get students...

...will you be? Who will you be with? Areas to work on:
Physical: health, exercise, sleep, nutrition; help your body feel good.
Mental: school/grades, talents/interests; give example
Emotional: feelings; example: dealing with anger
Family/social: improve relationships in your life; give examples, ie getting along with parents, friends
Decide on an area you want to work on. Set a goal for 5 years for where you want to be. Short-term goals: Now break your goal up into 3 smaller goals that you can reach now. You can’t eat a whole elephant, but you can eat one bite at a time. Short-term goals help you reach your long-term goal.
Consider your resources: What do you need to meet your goal? (time, money, skills, people, knowledge, self-discipline) Do you have enough resources to reach your goal?
If not, you will have to change your goal or figure out a way to get resources. There are many ways to reach the same goal.
For example:
Sometimes your goals will conflict. For example, you decided to spend more time with your family, but you also want to develop good basketball skills with your friends. How do you decide which goal comes first. You have to prioritize, or put the most important goals first. This will help you make choices when you have conflicts. Learning to prioritize your life is a key to taking responsibility and growing up. You will have to choose between your goals and values all your life. Ask these questions if you...

...is a unique body of nursingknowledge?
Ukelegharanya Onyinye Joy
Student#: 211969326
Nursing 3010 3.0 Section L
York University
June 7, 2012
Nursing is a dynamic discipline and self-regulated profession. In Ontario, the regulatory body of nursing is the College of Nurses of Ontario (CNO). The title nurse is protected by the College and only an individual with comprehensive nursingknowledge is legally entitled to practice nursing and use the title nurse. Having a unique body of knowledge is one thing that defines a profession in our society therefore nursingknowledge can be described as both a science and art. Nursing as a science is the application of nursingknowledge and the technical aspects of the practice while its artistic aspect is the establishment of a caring relationship through which nurses apply nursingknowledge, skills and judgment in a compassionate manner (CNO, 2007). Nurses use a wide range of theoretical and practical knowledge in their work....

...﻿
Melissa Carter
Discussion Board: Knowledge Development in Nursing.
When I first started as a nurse, I never took much thought about how philosophy has impacted the knowledge development in nursing. Now, after reading these articles and learning about the theorists; I can see that both have had an influential voice in nursing.
According to Kim (1999), “knowledge development innursing is obtained through descriptive, reflective, and criticizing ourselves. We strive to correct and improve ourselves and practice through self-reflection and critiquing. This develops our nursingknowledge about practices and helps us to engage in shared learning. We do this by generating models of good practice and theories of application. We reflect by looking back at ourselves and learning what has just occurred and having a self-awareness of our practices.” Kim (1999), also describes descriptive and critical phases. During the descriptive phase, “descriptions of practice are examined for genuineness and comprehensiveness (Kim, 1999). Kim (1999), also states that “critique of practice regarding conflicts, distortions, and inconsistencies” also increase a nurse’s knowledge.
McCurry (2009), states that “nursing as a profession has a moral mandate to contribute to the good of the society through...

...﻿ Knowledge development in nursing has been somewhat of a hot topic in the more scholastic endeavors of the profession for quite some time. As the profession grew from a focus centered on treating physical symptoms and conditions to a more well-rounded approach that considered psychological, social, and spiritual needs in addition to physical illness, the need to break down the process of knowledge development arose. By utilizingnursing theories, which support the use of evidenced based practice in most cases, it seems as though the profession of nursing gained more credibility in the scientific community as far as the value of the knowledge produced; I feel that utilizing processes akin to those already accepted as prudent by more ‘established’ scientific fields helped achieve that credibility. In order to get to nursing theories, however, the process had to begin with a philosophical component that can allow for a separation from concrete/ scientific knowledge, among other things, in order to promote more abstract concepts and different methods to look at how we come to that knowledge.
McCurry (2009) touches on this premise as she describes how a common theme, in this case the common good of society, can be looked at from many different perspectives, as it creates an arena in which those perspectives can be arranged to determine how to go...

...﻿THE IMPACT THAT NURSING LEADERSHIP AND MANAGEMENT HAVE ON QUALITY PATIENT CARE
The field of Health Care is a very broad field with different areas of specialization. Quality leadership and management are vital in health care. In modern medicine, the majority of nursing tasks are performed by a team rather than individuals. The way a nurse manager leads her staff, not only affects her employees’ morale and productivity, it also affects the quality of patient care and it is for this reason, that good leadership is expected from individuals at every level of the health care system. In this essay the leadership and management in nursing will be will be defined and five important qualities of an effective leader will be discussed together with the examples observed in practical health care settings.
What is leaderships? Leadership is a process of having a level of influence on others to accomplish the goals. The leader establishes the vision and provides information, knowledge, guideless and ways to realise that vision. (Ref) A good leader does more than just delegate, dictate and direct. A good leader will help others achieve their highest potential. A nurse should be empowered to be a professional, competent leader in health care. Nursing leadership and management are crucial in the health care system.
leadership is a process, involves influence, usually occurs in a group setting, involves the...

...Highlights and the body of knowledge of Nursing
Relate the following historical highlights and its impact in the Nursing Profession in the Philippines:
1. Increasing Demands of Nurses Abroad in 2003
2. 2006 Nursing Leakage
3. Surplus of Nurses in 2008
1. Increasing Demands of Nurses Abroad in 2003
The increasing demands of nurses abroad in 2003 were brought about by various conditions which occurred in several states and countries abroad. For instance, in Canada, 50% of nurses employed in the year 2003 will retire within the next 15 years and student classes will need to double from 5,000 to 10,000 a year to fill the gap. By 2016 however there is an expected shortfall of 113,000 nurses (Socio-Economic News, 2003). The increasing number of expected staff nurses that will retire due to old age in Canada contributed to their need to hire nurses from other countries to satisfy their demand on health care needs.
Another event was the downfall of students enrolling in the nursing program in Unites States of America. Enrolment into nursing education program has fallen by 4% - 6%, and the number of graduate nurses who pass RN examination is falling (23% since 1995)… It is not surprising that the number of vacant positions is predicted to increase to 400,000 by 2020 (20% of the demand) (Socio-Economic News, 2003). The decreasing enrollees of nursing students...